Active NPI
Village of Somers
- Land Ambulance
- Kenosha, WI
National Provider Identifier
1366817678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6001192
- Legal business name
- VILLAGE OF SOMERS
- Doing business as
- Somers Rescue Squad
- Practice address
- 7511 12TH St
Kenosha, WI 53144-7220 - Phone
- (262) 859-2822
- NPI assigned
- Dec 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodin Froeber
- Title
- Deputy Fire Chief
- Phone
- (531) 895-5853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6001192 | WI | Primary |
Addresses
Primary practice location
7511 12TH St
Kenosha, WI 53144-7220
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Other names 1
- Somers Rescue Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161004000640 | WI | Part B Supplier - Ambulance Service Supplier | 2668760877 | Practice locations: Kenosha, WI |
National Provider Directory
National Provider DirectoryLocations
7511 12th St
Kenosha, WI 53144
Phone (262) 859-2822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1366817678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10802 FARNAM DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7511 12TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531447220",
"telephone_number": "262-859-2822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SOMERS",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-11",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "FROEBER",
"authorized_official_first_name": "JODIN",
"authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
"authorized_official_telephone_number": "531-895-5853"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WI",
"license": "6001192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Somers Rescue Squad",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.